Objective   To explore the feasibility of repairing the defect of soft tissue around the elbow with the medial forearm pedicled neurocutaneous flap from the perforators of proximal ulnar artery.    Methods   From January 2006 to December 2008

12 patients

aged from 20 to 52 suffering from defect of soft tissue around the elbow received a repairing by the pedicled neurocutaneous flap. There were 7 cases of defects of simply soft tissue

5 cases of bone exposed

and 2 cases of ulnar nerve defect

which were bridged by sural nerve. The defect of soft tissue was ranging from 4.0 cm×5.0 cm to 6.0 cm×8.0 cm. The donor sites of flaps were repaired with skin grafting.    Results   All the flaps were primarily survived. The area of the flap was from 5.0 cm×6.0 cm to 7.0 cm×9.0 cm. Among these patients

8 were followed up (including through telephone) for 1 month to 2 years.  During the follow-up

the color

texture and appearance of the flaps were good. The elbow exercised freely. The claw hands deformity of 2 defects of ulnar nerve were improved in 6 to 8 months after operation.    Conclusion   The medial forearm pedicled neurocutaneous flap from the perforators of proximal ulnar artery can repair the defect of soft tissue around the elbow

with reliable blood supply and simple operative procedure.